Overview
This lecture demonstrates the Mill's Test, a clinical examination used to diagnose lateral epicondylitis (Tennis Elbow) by provoking pain at the lateral epicondyle.
Mill's Test Purpose and Execution
- Mill's Test is used to diagnose lateral epicondylitis, also known as Tennis Elbow.
- The test targets the Extensor Carpi Radialis Longus and Brevis muscles by stretching them.
- Have the patient stand while the examiner fixates the humerus and palpates the lateral epicondyle.
- Passively pronate the forearm, flex the wrist, and fully extend the elbow to perform the maneuver.
- A positive test is indicated by sudden pain at the lateral epicondyle.
Alternative Tests Mentioned
- Cozen's Test is another method to assess for Tennis Elbow.
- A third unnamed method is also available for testing lateral epicondylitis.
Key Terms & Definitions
- Lateral Epicondylitis — Inflammation or pain at the lateral epicondyle, commonly referred to as Tennis Elbow.
- Mill's Test — A provocative test involving pronation, wrist flexion, and elbow extension to stretch forearm extensors.
- Extensor Carpi Radialis Longus/Brevis — Forearm muscles involved in wrist extension, often implicated in Tennis Elbow.
Action Items / Next Steps
- Review the Cozen's Test and the third method for diagnosing Tennis Elbow.
- Practice the Mill's Test technique on a peer or patient.